HomeMy WebLinkAboutHomestead_ChurchCLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
Stete Fam Sr73 (R6 / 4-03j
Presaibed by Me Departmant W Lasl Govemment Finanee
INSTRUCTIONS: See rererse side /or flling instn�ctipns.
FORM
HC10
�
YEAR
�i . � �i�y' t � �i i t
��e) c h on e� s day of March, 20
I(We) occupied as our p cipal p f residence ihe following described real property for which a Homestead Property Tac Credit is hereby daimed:
�(t Ne) owned b ng under wntract ,��Jti+ ��
, Have a benefidal erest in the entity that is liable for the property taxes on Ihe property and that�axms�he Vroperry or n�buy��nder a conVac�.
I( buying on contrac(, Fee Simple ownefs name
Remtdefs office where conVacl is recarCed
Record number � Page
�wnb Toxnship Taing , townshiP)
Parcel number al e n Is ihe pm in stion:
_��� I DroOeM '❑ Mobile Homo (I.C. 61.1-�
N any portion ot Ihe resitlential sW cWre w Ne not exceeding one (1) ave that �mmediatey wrrounds tha aure is usea m produce income, describe Ne use and portlon
ot Ihe propeAy utiized to produce income.
. ^._ i . '. . . .
� �,�-��-��'-3�1-a�.y�y-OaJo
Counly
Toxnship
I hereby certify ihe above statements are W e, corred and complete.
(numDer arM street, city, s(ate, ZlPCOde)
County
Twvnship
��`�g—"��?ASSESSORUS ONLY��`'�'�j�g`�i-',�'�TRUETAX'���� ASSESSED��VALUE � HOIdESTEAD���NON'�pRESf�ENTIALy �+
_,�`.'_`x� . _�.i_i� t,�tt�;!�-t� � ...z„�_L,��, "„�TM�.�" ���VALUE��'�1��_ ATt100%OFiTN� �VALUE�Si� � y '�'VALUE3 �
�-�. : �=�:".s_ �...�'..�5..�^'���
Land not exceeding 1(one) acre immediatety �..ri�i" n� qv c�^
surroundin residenlialimrovemenls. (�) .��__'^ £� `r:__ � >?
9 P r ������� � _ �',
Oiher land (Z� �-��' �� �
�"+.�.{���
Total land (line 7 plus line 2) (3�
�* ". �� � �i
Dwelling (4) h:. ��.x a
�Residential improvaments orMnualty ��i��d�- .`}��' "^ �-�.- � '�
Assessed Modle / Manufactured Huna Garage (5) c�_ �`::Y� �� �. y
-�`„�[�'.` . �:r���
bv�?#^r'`':' ��Y
Other improvemenls (5) �'�£; ���
��'3iwf'-�t:�' ,.
Tdal improvemenis (line 4 through line 6) (��
7dal value (line 3 phs line n (g)
I hereby cerfify the above is We, conecl, and Signature o(Assessor Date signed
complete.
Veriying action - SignaWre of AnEitor Date signed
2Q�QPay 20Q�
le>serof 1/2 Homestead
vauanon a S35.W0
S
C�17